人迎穴体表电刺激联合星状神经节阻滞治疗不定陈诉综合征临床观察  

Clinical observation of dysantonomia treated with transcutaneous electrical stimulation at Renying(ST 9)combined with stellate ganglion block

作　　者：郑丽军[1] 艾雅琴[2] 朱红霞[1] 孟朋民[3] 王俐红[2] 苏心镜[1] 

机构地区：[1]河北北方学院附属第二医院疼痛科,宣化075100 [2]河北北方学院附属第二医院妇产科,宣化075100 [3]河北北方学院附属第二医院康复科,宣化075100

出　　处：《中国针灸》2015年第6期557-560,共4页Chinese Acupuncture & Moxibustion

摘　　要：目的:比较人迎穴体表电刺激联合星状神经节阻滞(SGB)与单纯SGB治疗不定陈诉综合征的临床疗效差异。方法:选择符合不定陈诉综合征诊断标准的患者60例,随机分为两组,每组30例。观察组为人迎穴体表电刺激联合SGB,对照组为单纯行SGB。两组患者均每周3次,9次为一疗程,疗程间间隔1周,治疗2个疗程,需时7周。均于治疗前及治疗后1个月、3个月根据自觉症状评分标准进行评分。结果:两组患者治疗前自觉症状评分比较差异无统计学意义(P>0.05);治疗后1个月、3个月两组患者自觉症状评分均低于治疗前(均P<0.01),且观察组自觉症状评分低于对照组(均P<0.01)。结论:人迎穴体表电刺激联合SGB治疗不定陈诉综合征能显著提高临床疗效,对临床症状的控制与改善显著优于单独采用SGB治疗者。Objective To compare the clinical efficacy difference in dysantonomia between transcutaneous electrical stimulation at Renying（ST 9）combined with stellate ganglion block（SGB）and simple SGB.Methods Sixty patients in accord with the diagnostic criteria of dysantonomia were randomly divided into two groups,30 cases in each group.In the observation group,transcutaneous electrical stimulation at Renying（ST 9）combined with SGB were adopted;in the control group,simple SGB was applied.In the two groups,treatment was used three times a week,and nine treatments were considered as one course.There was an interval of one week between courses,and two courses were treated.Total seven weeks were required.Scores were evaluated according to subjective symptoms before treatment,one month and three months after treatment in the two groups.Results The scores of subjective symptoms were not statistically different before treatment in the two groups（P〉0.05）.The scores of subjective symptoms one month and three months after treatment were all lower than those before treatment（all P〈0.01）,and subjective symptoms scores in the observation group were lower than those in the control group（both P〈0.01）.Conclusion Transcutaneous electrical stimulation at Renying（ST 9）combined with SGB could obviously enhance the clinical effects for dysantonomia,and the control and improvement for clinical symptoms are apparently superior to simple SGB.

关 键 词：不定陈诉综合征 穴 人迎 体表电刺激 星状神经节阻滞 

分 类 号：R216.1[医药卫生—中医学]